Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $512.86	Professional		$257.04	$323.59	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,174.90 / $1,445.44	Professional		$457.09	$1,174.90	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $457.09 / $630.96	Facility		$363.08	$457.09	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $630.96	Professional		$436.52	$478.63	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $588.84 / $616.60	Facility		$575.44	$588.84	$616.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $489.78 / $758.58	Facility		$316.23	$489.78	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $524.81 / $630.96	Professional		$87.10	$524.81	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $2,290.87	Facility		$489.78	$831.76	$2,290.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $660.69	Professional		$602.56	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $891.25 / $1,174.90	Facility		$354.81	$891.25	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $512.86	Professional		$245.47	$269.15	$512.86